Individual
AISHA ELSA MINGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E 82ND ST, BROOKLYN, NY 11236-3509
(862) 235-6019
Mailing address
711 E 82ND ST, BROOKLYN, NY 11236-3509
(862) 235-6019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
901436
NY
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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